The Mishna Acharona teaches that because these women do not generally menstruate at all, the Sages need not worry that their vaginal walls were holding on to menstrual blood. That would be an unusual situation, and the Sages do not set rabbinic decrees in unusual situations. As well, these women have a well established chezkat tahara, presumption of purity, based on the fact that they do not usually menstruate.
The Kehilat Ya’akov argues that most women are assumed to menstruate somewhat regularly, and thus her vaginal walls with hold back her blood at some point in her life, thus a more stringent set of laws regarding ritual purity are in order. Again, we return to the principal that rabbinic decree is only required for a usual occurrence.
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